Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier 26 Low / Median / High Price $234.42 / $234.42 / $234.42	Facility	26	$234.42	$234.42	$234.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $199.53 / $275.42 / $489.78	Professional		$199.53	$275.42	$489.78
Aetna Facility/Professional Professional Modifier 26 Low / Median / High Price $54.95 / $67.61 / $134.90	Professional	26	$54.95	$67.61	$134.90
Aetna Facility/Professional Professional Modifier TC Low / Median / High Price $141.25 / $213.80 / $346.74	Professional	TC	$141.25	$213.80	$346.74
Anthem BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.98 / $457.09 / $660.69	Professional		$194.98	$457.09	$660.69
Anthem BCBS Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $134.90 / $194.98	Professional	26	$58.88	$134.90	$194.98
Anthem BCBS Facility/Professional Professional Modifier TC Low / Median / High Price $138.04 / $323.59 / $512.86	Professional	TC	$138.04	$323.59	$512.86
Cigna Facility/Professional Facility Modifier 26 Low / Median / High Price $75.86 / $75.86 / $75.86	Facility	26	$75.86	$75.86	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $269.15 / $501.19 / $912.01	Professional		$269.15	$501.19	$912.01
Cigna Facility/Professional Professional Modifier 26 Low / Median / High Price $75.86 / $123.03 / $186.21	Professional	26	$75.86	$123.03	$186.21
Cigna Facility/Professional Professional Modifier TC Low / Median / High Price $194.98 / $354.81 / $758.58	Professional	TC	$194.98	$354.81	$758.58
Harvard Pilgrim Facility/Professional Professional Modifier Low / Median / High Price $229.09 / $363.08 / $537.03	Professional		$229.09	$363.08	$537.03
Harvard Pilgrim Facility/Professional Professional Modifier 26 Low / Median / High Price $67.61 / $104.71 / $154.88	Professional	26	$67.61	$104.71	$154.88
Harvard Pilgrim Facility/Professional Professional Modifier TC Low / Median / High Price $162.18 / $251.19 / $380.19	Professional	TC	$162.18	$251.19	$380.19
United Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $371.54 / $691.83	Professional		$234.42	$371.54	$691.83
United Facility/Professional Professional Modifier 26 Low / Median / High Price $58.88 / $83.18 / $158.49	Professional	26	$58.88	$83.18	$158.49
United Facility/Professional Professional Modifier TC Low / Median / High Price $165.96 / $263.03 / $501.19	Professional	TC	$165.96	$263.03	$501.19
Well Sense Facility/Professional Facility Modifier 26 Low / Median / High Price $38.02 / $44.67 / $44.67	Facility	26	$38.02	$44.67	$44.67